Individual
SUSAN H DUKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
202 W PARK AVE, CHAMPAIGN, IL 61820-3929
(217) 373-2430
Mailing address
2506 SOMERSET DR, URBANA, IL 61802-7679
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043077206
IL
Other
Enumeration date
05/16/2011
Last updated
05/16/2011
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